A prospective outcome study was performed on 270 patients, 65 years of age and older, who sustained a femoral neck fracture and underwent hemiarthroplasty.
The treatment compared was the use of a noncemented unipolar versus either a cemented or a press fit bipolar prosthesis.
The outcome variables assessed included the occurrence of a postoperative complication, length and cost of hospitalization, and function in various quality of life measurements.
Patients who underwent bipolar hemiarthroplasty with either a cemented or a press fit prosthesis had better pain relief and function than patients who had a noncemented unipolar prosthesis at a minimum of 24 months after surgery.
However, the mean hospitalization cost for patients who had a bipolar prosthesis was $12,290 compared with $8876 for a unipolar prosthesis.
Mots-clés Pascal : Fracture, Col fémoral, Vieillard, Homme, Prothèse, Hanche, Tête fémorale, Etude comparative, Technique, Traitement, Epidémiologie, Etude longitudinale, Pronostic, Analyse coût efficacité, Os, Membre inférieur, Système ostéoarticulaire pathologie, Traumatisme, Chirurgie orthopédique
Mots-clés Pascal anglais : Fracture, Femoral neck, Elderly, Human, Prosthesis, Hip, Femoral head, Comparative study, Technique, Treatment, Epidemiology, Follow up study, Prognosis, Cost efficiency analysis, Bone, Lower limb, Diseases of the osteoarticular system, Trauma, Orthopedic surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0218685
Code Inist : 002B25I. Création : 11/09/1998.